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Microsurgical decompression of peripheral nerves for treatment of diabetic peripheral neuropathy of upper limbs

ZHANG Li  YU Yan-bing  XU Xiao-li  XU Jun  LIU Jiang  LIU Hong-ju  ZHANG Zhe  REN Hong-xiang  LIU Xin  
【摘要】:Objective To study the effectiveness of microsurgical decompression of peripheral nerves for the treatment of diabetic peripheral neuropathy of upper limbs. Methods The microsurgical decompression of median nerve in carpal tunnel and microsurgical decompression, submuscular transposition of ulnar nerve in cubital tunnel of 25 hands(15 diabetic patients, 28 nerves) were performed from March 2004 to July 2008 in the department of neurosurgery in China-Japan friendship hospital. Results All the patients were followed-up for about 106 months(65 to 115 months) in average. The symptoms of numbness and pain in all the 25 hands were relieved. The percentage of improvement of the symptoms of weakness and motion dysfunction was 60%. There was 1 recurrence case(3.4%, median nerve). The postoperative complications included 3 delayed wound healing(10.7%, 3/28). Conclusions Microsurgical decompression of peripheral nerves was an effective method for the treatment of diabetic peripheral neuropathy of upper limbs. The effect for relieving the symptoms of numbness and pain of hand was better than that for relieving weakness and motion dysfunction.

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